institution
David Willis Dmd, Llc
Customized Equipment (DME) in Salem, Oregon
NPI 1629522396

David Willis Dmd, Llc is a Customized Equipment (DME) based in Salem, OR and is specialized in Customized Equipment. David Willis Dmd, Llc practices in Salem, OR. The NPI Number for David Willis Dmd, Llc is 1629522396 and holds a License No. D7786 (Oregon).

The current practice location address for David Willis Dmd, Llc is 1261 Lancaster Dr Ne, Salem, OR and can be reached out via phone at 503-364-3004 and via fax at 503-364-1623. You can also correspond with David Willis Dmd, Llc through the mailing address at 1261 LANCASTER DR NE, SALEM, OR - 97301-1959 (mailing address contact number: 503-364-3004).

Location: 1261 Lancaster Dr Ne, Salem, OR, 97301-1959
institution
Provider Profile Details
NPI Number
1629522396
Provider Name
David Willis Dmd, Llc
Credential
Provider Entity Type
Organization
Address
1261 Lancaster Dr Ne, Salem, OR, 97301-1959
Phone Number
503-364-3004
Fax Number
503-364-1623
Provider Enumeration Date
08/10/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841395977 01 OR DAVID G. WILLIS, DMD
institution
Provider Business Practice Location Address Details
Address
1261 Lancaster Dr Ne
City
State
Zip
97301-1959
Phone Number
503-364-3004
Fax Number
503-364-1623
person
Provider Business Mailing Address Details
Address
1261 Lancaster Dr Ne
City
State
Zip
97301-1959
Phone Number
503-364-3004
Fax Number
503-364-1623
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
D7786 (Oregon)
Definition
Definition to come...
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